Repeated misdiagnosis of small intestine bronchogenic cyst: a case report

Bronchogenic cysts are uncommon congenital malformations of the respiratory system. These cysts can be categorized as intrapulmonary, mediastinal, or ectopic. Ectopic bronchogenic cysts, which lack distinctive clinical and imaging features, are particularly challenging to diagnose. This study presents a 48-year-old woman having a small intestinal bronchogenic cyst. She was repeatedly misdiagnosed as having an ovarian chocolate cyst or a cystic mass of bladder origin three years ago. However, no cyst was found during the operation. Half a year prior to presenting at our hospital, the patient developed frequent urination, prompting her to seek further treatment. We eventually discovered a cyst in the small intestine. The histological evaluation of the specimen showed a bronchogenic cyst. Small intestine bronchogenic cysts are extremely rare and easily misdiagnosed. It should be considered as one of the differential diagnoses of pelvic cysts. Particularly, when intraoperative exploration of the pelvic cavity fails to detect any cysts, consideration should be given to the possibility of small intestine bronchogenic cysts

Direct and indirect effects of climate on richness drive the latitudinal diversity gradient in forest trees

Data accessibility statement: Full census data are available upon reasonable request from the ForestGEO data portal, http://ctfs.si.edu/datarequest/ We thank Margie Mayfield, three anonymous reviewers and Jacob Weiner for constructive comments on the manuscript. This study was financially supported by the National Key R&D Program of China (2017YFC0506100), the National Natural Science Foundation of China (31622014 and 31570426), and the Fundamental Research Funds for the Central Universities (17lgzd24) to CC. XW was supported by the Strategic Priority Research Program of the Chinese Academy of Sciences (XDB3103). DS was supported by the Czech Science Foundation (grant no. 16-26369S). Yves Rosseel provided us valuable suggestions on using the lavaan package conducting SEM analyses. Funding and citation information for each forest plot is available in the Supplementary Information Text 1.Peer reviewedPostprin

Falling-Film Absorption Model Considering Surface Wave and Vibration Effects Based on Lattice Boltzmann Method

As one of the effective solutions to recover waste heat, absorption refrigeration systems are used in various industrial or refrigeration places. Flat-plate falling-film absorption is one of the newer types, and the lattice Boltzmann method (LBM) has certain advantages compared with the traditional numerical simulation method. In this work, an LBM is used to analyze flat-plate falling-film absorption. Using the additional calculation of the pressure by the pseudo-force model, a lithium bromide–water working fluid–heat and mass transfer model driven by steam partial pressure is realized. The results show that the turbulence generated in the surface wave has a favorable effect on the absorption process; the degree of turbulence gradually decreases with the increase in the Reynolds number, which weakens the increasing effect of the surface wave on the absorption. When the Reynolds number is moderate, the solitary wave flows forward relative to the front thin liquid film, which promotes concentration and temperature diffusion inside the liquid film and inside the solitary wave. The model of falling-film flow under vibration environment is realized by using the characteristic of imposing inertial force in the model by pseudo-force method. The results show that vibration has a favorable effect on liquid film absorption, increasing the amplitude can increase the gas–liquid contact area and obtain a lower average film thickness, while increasing the vibration frequency can promote the internal diffusion of the solution

Falling-Film Absorption Model Considering Surface Wave and Vibration Effects Based on Lattice Boltzmann Method

As one of the effective solutions to recover waste heat, absorption refrigeration systems are used in various industrial or refrigeration places. Flat-plate falling-film absorption is one of the newer types, and the lattice Boltzmann method (LBM) has certain advantages compared with the traditional numerical simulation method. In this work, an LBM is used to analyze flat-plate falling-film absorption. Using the additional calculation of the pressure by the pseudo-force model, a lithium bromide–water working fluid–heat and mass transfer model driven by steam partial pressure is realized. The results show that the turbulence generated in the surface wave has a favorable effect on the absorption process; the degree of turbulence gradually decreases with the increase in the Reynolds number, which weakens the increasing effect of the surface wave on the absorption. When the Reynolds number is moderate, the solitary wave flows forward relative to the front thin liquid film, which promotes concentration and temperature diffusion inside the liquid film and inside the solitary wave. The model of falling-film flow under vibration environment is realized by using the characteristic of imposing inertial force in the model by pseudo-force method. The results show that vibration has a favorable effect on liquid film absorption, increasing the amplitude can increase the gas–liquid contact area and obtain a lower average film thickness, while increasing the vibration frequency can promote the internal diffusion of the solution

Thermal-Hydraulic Characteristics of the Liquid-Based Battery Thermal Management System with Intersected Serpentine Channels

Liquid thermal management is the prevailing method to maintain the operating performance and safety of Li-ion batteries. However, a better heat transfer performance is often accompanied by a higher power cost for liquid-based cooling methods. In the present work, V-shaped intersecting bypasses are integrated into conventional serpentine channels to reduce the liquid pressure drop across the cold plate without loss of thermal performance. The thermal-hydraulic characteristics of the battery thermal management system are studied based on CFD simulations. The non-dimensional j/f factor is developed and adopted to evaluate the heat transfer ability and friction loss of different designs. The effects of intersecting channel addition, flow direction, channel inlet, and outlet distributions are explored with the simulation results and data analysis. The results show that all of these factors would impact the thermal–hydraulic characteristics of the liquid cold plate. The addition of intersecting channels remarkably reduces the power cost, thus increasing the j/f factor. The alteration of the flow direction from longitudinal to widthwise could further improve the thermal-hydraulic characteristics of the intersected channel design. For conventional serpentine channels, the inlet and outlet distributions show no evident impact on thermal performance. However, regarding the intersected cases, the thermal-hydraulic performance is enhanced when the inlet and outlet are placed on the opposite sides of the cold plate, especially when the inlet velocity is less than 0.3 m/s. The findings of this study could shed light on the liquid flow channel design for battery thermal management

Factors for Predicting Instant Neurological Recovery of Patients with Motor Complete Traumatic Spinal Cord Injury

The objective of this study was to analyze the factors affecting the instant recovery of neurological function in patients with motor complete traumatic spinal cord injury (TSCI) treated in hospital. Methods: A retrospective analysis of 1053 patients with TSCI classified according to the American Spinal Cord Injury Association (ASIA) as grades A and B at 59 tertiary hospitals from 1 January 2018 to 31 December 2018 was performed. All patients were classified into motor complete injury (ASIA A or B) and motor incomplete injury (ASIA C or D) groups, according to the ASIA upon discharge. The injury level, fracture segment, fracture type, ASIA score at admission and discharge, treatment protocol, and complications were recorded. Univariate and multivariate analyses were performed to evaluate the relationship between various factors and the recovery of neurological function. Results: The results of multiple logistic regression analysis revealed that the ASIA score on admission (p < 0.001, odds ratio (OR) = 5.722, 95% confidence interval (CI): 4.147–7.895), fracture or dislocation (p = 0.001, OR = 0.523, 95% CI: 0.357–0.767), treatment protocol (p < 0.001; OR = 2.664, 95% CI: 1.689–4.203), and inpatient rehabilitation (p < 0.001, OR = 2.089, 95% CI: 1.501–2.909) were independently associated with the recovery of neurological function. Conclusion: The recovery of neurological function is dependent on the ASIA score on admission, fracture or dislocation, treatment protocol, and inpatient rehabilitation